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For a list of the Community Action Agencies in your area, click
here.
Welcome to the Low Income Energy Assistance Program (LIHEAP)
There are two ways to use this site.
Option 1:
Eligible applicants may complete a LIHEAP application at this site, then print it out and mail it in. To find the appropriate address for your application, click
here.
Option 2:
You may submit a completed application online if you have electronic versions (scanned and/or digital) of the following items:
Heat bills
Electric bills
Income verification for all income sources
Social security card/number verification for members new to your household this year
To determine if you are eligible to apply at this website, click Next.
Not Eligible for an Online Application
Close
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New Member Entry
First name:
Required
Last name:
Required
Middle initial:
Social security # or I-94#:
Required
Date of birth:
Required
Sex:
<--Select-->
Male
Female
Other
Required
Origin:
Hispanic/Latino/Spanish
Race:
<--Select-->
Black or African American
White
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Multi-race(any 2 or more of above)
Other
Unknown
Required
Relation:
<--Select-->
Head of household
Spouse
Child
Foster child
Grandchild
Parent
Grandparent
Other relation
Not related
Sibling
Required
Education:
<--Select-->
0-8th grade
9th-12th grade (non grad)
High school grad/GED
12+/some post secondary
2 or 4 year college grad
Graduate of other post-secondary school
Required
Marital status:
<--Select-->
Single
Married
Separated
Divorced
Widowed
Required
Disabilities:
<--Select-->
None
Mental
Hearing
Deaf
Speech
Visual
Emotional
Orthopedic
Other
Unknown
Required
Employment:
<--Select-->
Full time
Part time
Migrant seasonal
Unemployed - 6 months or less
Unemployed - 6 months plus
Unemployed - not in labor force
Retired
Contract
Temporary
13 years or younger
Unknown/not reported
Required
Medical insurance:
<--Select-->
Medicaid
Medicare
State CHIP
State Insurance for Adults
Military
Direct purchase
Employment based
Unknown/not reported
No health insurance
Indian Health Insurance
Required
CARES Stimulis Benefit:
<--Select-->
Yes
No
Required
Expanded CARES UI Bonus:
<--Select-->
Yes
No
Required
×
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Are you sure you want to quit now? You may return and complete your application at another time.
×
Please make sure this information is correct. Errors will delay processing this application.
Not Eligible for an Online Application